| NPI | 1932594199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-15-18550) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NC 4120) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |